A nurse is reinforcing teaching with the family of a client who is receiving palliative care for terminal cancer. Which of the following guidelines should the nurse emphasize about appropriate pain control measures?

A. Notify the primary care provider of the results: Notifying the provider is important for persistent hypoxemia, but the nurse should first ensure the reading is accurate. Immediate action should confirm whether the low saturation reflects true hypoxemia or a measurement error.

B. Document the finding in the medical record: Documentation is part of standard care, but it does not address the potential acute hypoxemia. Recording should occur after verifying the reading and initiating appropriate interventions if needed.

C. Repeat the test on another finger: Pulse oximeter readings can be affected by poor perfusion, nail polish, cold extremities, or device malfunction. Repeating the test on a different finger or site helps confirm the accuracy of the measurement before taking further clinical actions.

D. Consult the respiratory therapist: Referral to a respiratory therapist may be indicated if hypoxemia persists, but it is not the first action. The nurse must first verify the accuracy of the SpO2 reading to determine whether urgent intervention is necessary.

A. Accountability: Accountability refers to the nurse being responsible for their actions, decisions, and the outcomes of care provided. While important, simply explaining the purpose of a medication does not directly demonstrate accountability.

B. Autonomy: Autonomy involves supporting a client’s right to make informed decisions about their own care. The nurse’s explanation provides information but does not itself constitute enabling the client’s decision-making; additional discussion and consent would be required to demonstrate autonomy.

C. Veracity: Veracity is the ethical principle of truthfulness. By accurately explaining that furosemide is a diuretic that removes excess fluid, the nurse is providing truthful, clear information, allowing the client to understand their treatment and fostering trust.

D. Justice: Justice involves treating clients fairly and equitably, ensuring equal access to care and resources. Explaining the purpose of a prescribed medication is not an example of justice, as it pertains to truthful communication rather than fairness or resource allocation.